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Accepted for/Published in: JMIR Formative Research

Date Submitted: Aug 26, 2024
Open Peer Review Period: Sep 9, 2024 - Nov 4, 2024
Date Accepted: May 8, 2025
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Evaluating the Effectiveness of Smart Glasses in Reducing Patient Care Time in Emergency Departments: Cohort Study From the Hangzhou Asian Games

Jiang X, Xia B, Ansari MM, Jiang H, Qi J, Zhang Z, Dai S, Zheng P, He Y, Liu N, Chen P, Luo R, Qin X, Miao Y, DAI J, Zhou X, Wang C, Chen H, Xu W, Wu T, Shi Q, Chen Z, Chen Z, Zhou L, Zhang H, Xie Y, Zhang Q, Zhou B, Pan X, Chen Z, Zhen L, Sun Y, Lu Z, Loh Y, Sayer S, Mochtar J, Wongpraewit P, Hong Y, Wang Y

Evaluating the Effectiveness of Smart Glasses in Reducing Patient Care Time in Emergency Departments: Cohort Study From the Hangzhou Asian Games

JMIR Form Res 2025;9:e65617

DOI: 10.2196/65617

PMID: 40587811

PMCID: 12234398

Evaluating the Effectiveness of Smart Glasses in Reducing Patient Care Time in Emergency Department: A Cohort Study from the Hangzhou Asian Games

  • Xinwei Jiang; 
  • Bangbo Xia; 
  • Mohammad Mostafa Ansari; 
  • Huiquan Jiang; 
  • Jianjiang Qi; 
  • Zhongheng Zhang; 
  • Sheng Dai; 
  • Pingping Zheng; 
  • Yang He; 
  • Ning Liu; 
  • Pengpeng Chen; 
  • Ronghua Luo; 
  • Xuchang Qin; 
  • Yansong Miao; 
  • Junru DAI; 
  • Xiaoyu Zhou; 
  • Changliang Wang; 
  • Hui Chen; 
  • Wenbin Xu; 
  • Tao Wu; 
  • Qiang Shi; 
  • Zhonghua Chen; 
  • Zhonghua Chen; 
  • Liping Zhou; 
  • Hao Zhang; 
  • Yun Xie; 
  • Quan Zhang; 
  • Bifa Zhou; 
  • Xiaohong Pan; 
  • Zixi Chen; 
  • Libo Zhen; 
  • Yaqing Sun; 
  • Zelin Lu; 
  • Yihao Loh; 
  • Shameera Sayer; 
  • Jennifer Mochtar; 
  • Pannika Wongpraewit; 
  • Yucai Hong; 
  • Yifan Wang

ABSTRACT

Background:

Challenges in emergency medicine include overcrowding, insufficient emergency care resources and extended Emergency Department (ED) waiting times. These issues contribute to delays in treatment and unfavorable outcomes. This situation particularly worsened during the Covid-19 pandemic and events with large crowds. The integration of augmented reality (AR) smart glasses could potentially enhance patient care in the ED.

Objective:

To assess the effectiveness of AR smart glasses in reducing patient care time in the ED during the 19th Asian Games and 4th Asian Para Games Hangzhou 2022 (HAG2022). The study specifically compares the pre-preparation time (PPT) and consult response time (CRT) in patients receiving teleconsultations via AR smart glasses (ARTS group) versus those receiving standard care without AR (non-ARTS group).

Methods:

This retrospective study conducted between September 13, 2023, and October 28, 2023, during HAG2022. The data gathered from AR smart glasses using 5G technology at the HAG2022 village and electronic health records at Sir Run Run Shaw Hospital, China. The study included two groups: teleconsultation by AR telemedicine system (ARTS) group and no teleconsultation by AR telemedicine system (non-ARTS) groups. The main data assessed were pre-preparation time (PPT) and consult response time (CRT) in ED.

Results:

During the research period, 80 patients were divided into two cohorts: the ARTS cohort (n=10) and the non-ARTS cohort (n=70). Gender and age demographics showed no significant differences between the cohorts. The ARTS cohort had a significantly lower average PPT of 23.0 minutes compared to the non-ARTS cohort's 40.3 minutes (P<.001). Additionally, CRT in the ARTS cohort was significantly lower at 15.6 minutes compared to the non-ARTS cohort's 164.8 minutes (P=.03). The outcomes suggest that smart glasses are effective in decreasing PPT and CRT.

Conclusions:

Augmented reality smart glasses have the potential to enhance patient admission efficiency and reduce care time in emergency departments. However, despite these benefits, further research is needed to confirm their effectiveness, and additional studies are essential to identify the challenges and barriers to their successful implementation in emergency medicine. Clinical Trial: Srrsheca2023-0597(NCT06623825)


 Citation

Please cite as:

Jiang X, Xia B, Ansari MM, Jiang H, Qi J, Zhang Z, Dai S, Zheng P, He Y, Liu N, Chen P, Luo R, Qin X, Miao Y, DAI J, Zhou X, Wang C, Chen H, Xu W, Wu T, Shi Q, Chen Z, Chen Z, Zhou L, Zhang H, Xie Y, Zhang Q, Zhou B, Pan X, Chen Z, Zhen L, Sun Y, Lu Z, Loh Y, Sayer S, Mochtar J, Wongpraewit P, Hong Y, Wang Y

Evaluating the Effectiveness of Smart Glasses in Reducing Patient Care Time in Emergency Departments: Cohort Study From the Hangzhou Asian Games

JMIR Form Res 2025;9:e65617

DOI: 10.2196/65617

PMID: 40587811

PMCID: 12234398

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